| Key To Life Counseling Center | |
|
14231 E 4th Ave Bld 0ne Suite 370 Aurora CO 80011-8734 | |
| (303) 856-3485 | |
| (303) 856-3175 |
| Full Name | Key To Life Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14231 E 4th Ave, Aurora, Colorado |
| Authorized Official Name and Position | Keith Demel Pontiflet (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 3038653485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key To Life Counseling Center 14231 East 4th Ave Bld 0ne Suite 370 Aurora CO 80011-9048 Ph: (303) 856-3485 | Key To Life Counseling Center 14231 E 4th Ave Bld 0ne Suite 370 Aurora CO 80011-8734 Ph: (303) 856-3485 |
| NPI Number | 1205002433 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205002433 | NPI | - | NPPES |
| ADAD LICENSE #162901 | Other | CO | ADAD LICENSE #162901; CAC III LICENSE #6578 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ADAD #162901 (Colorado) | Primary |
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